HomeMy WebLinkAbout2015-01270 (advanced plan review) CITY OF ORONO * Z pJ 1 5 - 0 1 2 7 0 *
2750 KELLEY PARKWAY DATE ISSUED: 09/30/2015
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4565 BAYSIDE RD
PIN : 06-117-23-21-0010
LEGAL DESC : BAYSIDE BERRY FARM
: LOT 2 BLOCK 1
PERMIT TYPE : ADVANCED PLAN REV[EW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
ACTIVITY : 434-RESIDENTIAL
VALUATION : $ 58,900.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$58,900.00
TYPE OF PERMIT THIS PAYMENT IS FOR: POLE BUILDING
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01271
APPLICANT ADVANCED PLAN REVIEW 511.39
DENALI CUSTOM HOMES, INC. TOTAL 511.39
Payment(s)
18283 MINNETONKA BLVD. CHECK 11741 511.39
DEEPHAVEN,MN 55391-
(952)476-2679
Minnesota State License#: BUIL-20175394
OWNER
DOUBECK,TIM& MARY
4565 BAYSIDE RD
MAPLE PLAIN, MN 55359-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date